Kyasanur Forest disease has reportedly been confirmed in 332 people, in India.

Nineteen people died from the virus, which was believed to be spreading from an outbreak in Sindhudurg, India.

“Between January 2016 and January 2018, laboratory tests confirmed 332 cases of the disease in the district, and 19 cases of that number were lethal,” reported Russia’s federal service on protection of consumer rights, Rospotrebnadzor.

“The Indian authorities did not specify the incidence of the KFD in January 2018.”

The virus is transmitted to humans after a tick bite, or contact with an infected animal, according to the Centers for Disease Control and Prevention (CDC).

The symptoms of Kyasanur Forest disease can begin suddenly after an incubation period of three to eight days.

Signs of the virus include chills, fevers and headaches.

Vomiting, bleeding problems and severe muscle pain can develop three days after the initial symptoms begin.

CDC said: “People with recreational or occupational exposure to rural or outdoor settings (e.g., hunters, herders, forest workers, farmers) within Karnataka State are potentially at risk for infection by contact with infected ticks.

“Seasonality is another important risk factor as more cases are reported during the dry season, from November through June.”

Early diagnosis and supportive therapy is crucial to treating the infection, as there’s currently no specific cure for Kyasanur Forest disease.

Tourists are advised to use insect repellents and wear protective clothing in areas where ticks are present.